HCPCS code G3003: Pain management, each additional 15 minutes2026 Medicare rate & RVUs
Reports each additional 15 minutes of structured chronic pain management after the initial monthly service for a patient receiving ongoing, coordinated pain care.
Medicare pays $31.73 for G3003 nationally in the office and $22.71 in a hospital or facility. Local office rates run $29.04–$40.20.
Medicare rate · G3003
Pain management, each additional 15 minutes
- Work RVUs
- 0.5
- Total RVUs
- 0.95
- Global days
- ZZZ
National rate · 2026
$31.73
Office setting, before claim adjustments.
See every locality for G3003 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 10 sections
What G3003 covers
G3003 represents additional clinician time spent managing a patient’s chronic pain after the initial service. A physician or other qualified health care professional may use this time to review pain and treatment progress, update the person-centered care plan, manage medications, address pain-related needs, and coordinate relevant behavioral health, therapy, or community-based services. The work is part of ongoing chronic pain care rather than a stand-alone procedure.
Report G3003 only with the primary chronic pain management service, G3002, for additional 15-minute increments. Documentation should identify the chronic pain management work performed and support the additional time reported. CMS classifies G3003 as an add-on code: it is billed with the primary service and paid within that service’s global period.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where G3003 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$29.04 to $40.20
109 of 109 payment localities
G3003 rates by state
Office rate range in each state. Select a state to see its payment localities.
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Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$29.04
$40.20
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $40.20 | 1 |
| AL | $29.34 | 1 |
| AR | $29.04 | 1 |
| AZ | $31.08 | 1 |
| CA | $32.52–$38.70 | 29 |
| CO | $32.42 | 1 |
| CT | $33.44 | 1 |
| DC | $35.20 | 1 |
| DE | $31.49 | 1 |
| FL | $31.98–$34.83 | 3 |
| GA | $30.61–$32.33 | 2 |
| GU | $32.86 | 1 |
| HI | $32.86 | 1 |
| IA | $29.59 | 1 |
| ID | $29.78 | 1 |
| IL | $31.51–$34.08 | 4 |
| IN | $29.90 | 1 |
| KS | $29.62 | 1 |
| KY | $30.11 | 1 |
| LA | $30.12–$31.17 | 2 |
| MA | $32.37–$34.82 | 2 |
| MD | $31.92–$35.20 | 3 |
| ME | $30.03–$30.99 | 2 |
| MI | $30.78–$32.41 | 2 |
| MN | $30.94 | 1 |
| MO | $29.84–$31.09 | 3 |
| MS | $29.44 | 1 |
| MT | $31.73 | 1 |
| NC | $30.23 | 1 |
| ND | $30.74 | 1 |
| NE | $29.66 | 1 |
| NH | $32.07 | 1 |
| NJ | $33.79–$35.03 | 2 |
| NM | $30.96 | 1 |
| NV | $31.47 | 1 |
| NY | $30.57–$36.76 | 5 |
| OH | $30.58 | 1 |
| OK | $29.93 | 1 |
| OR | $31.18–$33.05 | 2 |
| PA | $30.54–$32.90 | 2 |
| PR | $31.85 | 1 |
| RI | $32.31 | 1 |
| SC | $30.46 | 1 |
| SD | $30.62 | 1 |
| TN | $29.74 | 1 |
| TX | $30.41–$32.40 | 8 |
| UT | $30.76 | 1 |
| VA | $31.01–$35.20 | 2 |
| VI | $31.85 | 1 |
| VT | $30.77 | 1 |
| WA | $32.26–$35.29 | 2 |
| WI | $30.01 | 1 |
| WV | $30.70 | 1 |
| WY | $31.30 | 1 |
How the G3003 rate is calculated
Each of G3003’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · G3003
RVUs × geographic indexes × conversion factor
Work0.50
0.50 RVUs× 1.000 GPCI
Practice expense0.40
0.40 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
0.9500
Conversion factor
$33.4009
Medicare rate
$31.73
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for G3003
The CMS indicators that decide how G3003 is paid alongside other services.
CMS payment indicators · G3003
Pain management, each additional 15 minutes
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
G3003 compared with similar codes
Compare codes · National
G3003 vs G3002 vs 99439: Medicare rates
How to choose
- G3002Chronic pain managementInitial 30 minutes
- G3002 is the primary chronic pain management service; G3003 reports additional 15-minute increments and cannot stand alone.
- 99439Chronic care managementClinical staff, each additional 20 minutes
- 99439 is additional time for general chronic care management. G3003 is tied specifically to the chronic pain management service reported with G3002.
G3003 billing questions
When should G3003 be reported instead of G3002?
G3002 represents the initial chronic pain management service. G3003 is for additional 15-minute increments and is reported only with G3002.
What should the record support for G3003?
Document the additional time and the chronic pain management work performed, such as care-plan updates, medication management, or coordination of related services.
Can G3003 be billed by itself?
No. It is an add-on code and must be billed with the primary service, G3002.
How many units of G3003 should be reported?
Report units for the additional 15-minute increments supported by the documented chronic pain management time.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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